Individual provider Active NPI

Kevin Ralph Pollock, DO

  • Emergency Medicine Physician
  • Steubenville, OH
National Provider Identifier
1124648571
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.016153 Issued in OH
Practice address
4000 Johnson Rd
Steubenville, OH 43952-2364
Phone
(740) 283-7682
NPI assigned
Apr 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 34.016153 OH Primary

Addresses

Primary practice location

4000 Johnson Rd
Steubenville, OH 43952-2364

Mailing address

3397 Woodward Ave
Wantagh, NY 11793-4029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230105000451 OH Practitioner - Emergency Medicine 1153791389 Reassigns benefits to 2 organizations
I20230619000566 PA Practitioner - Emergency Medicine 1153791389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

Merit-based Incentive Payment System (MIPS)

Final score
97.27 of 100Reported as group
Improvement activities
40
Cost
83.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.016153OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2023 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Columbiana Emergency Physicians LLC Emergency Medicine CurrentSince Oct 13, 2023 Accepting new patients
Trinity Hospital Twin City CurrentSince Dec 3, 2022 Accepting new patients
University of Pittsburgh Physicians Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Trinity Hospital Twin City CurrentSince Dec 3, 2022 Accepting new patients

Locations

819 N 1st St
Dennison, OH 44621
Phone (740) 922-0000

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Interoperability endpoints

  • Direct secure messaging: kevin.r.pollock@upmcdirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1124648571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3397 WOODWARD AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117934029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 JOHNSON RD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522364",
            "telephone_number": "740-283-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "KEVIN",
        "middle_name": "RALPH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-24",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.016153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

Verify at the official NPI Registry.